Provider Demographics
NPI:1285967265
Name:CRESCENZO-DELBORGO, DAINA LYNN (MS)
Entity type:Individual
Prefix:
First Name:DAINA
Middle Name:LYNN
Last Name:CRESCENZO-DELBORGO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:DAINA
Other - Middle Name:LYNN
Other - Last Name:CRESCENZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:470 MAMARONECK AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1830
Mailing Address - Country:US
Mailing Address - Phone:914-421-8270
Mailing Address - Fax:914-421-8272
Practice Address - Street 1:470 MAMARONECK AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1830
Practice Address - Country:US
Practice Address - Phone:914-421-8270
Practice Address - Fax:914-421-8272
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019193-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist